<div class="container">
    <div class="row">
        <form class="form-contact col-md-6" role="form">
            <h2>Contact Us</h2>
            <div class="form-group">
                <input type="email" class="form-control" placeholder="Email address" required="" >
            </div>
            <div class="form-group">
                <input type="text" class="form-control" placeholder="Title" required="" >
            </div>
            <div class="form-group">
                <textarea class="form-control" required="" placeholder="Your message..." ></textarea>
            </div>
            <div class="form-group">
                <button class="btn btn-lg btn-primary btn-block" type="submit">Submit</button>
            </div>
        </form>
        <div class="col-md-4 col-md-offset-2">
            <h2>Our Office</h2>
            <address>
                <strong>Company Name</strong><br>
                123 Something St<br>
                New York, NY 00000<br>
                (212) 555 - 1234
            </address>
        </div>
    </div>
</div>